County hospital. Inpatient ward!
Everyone finally saw several patients who were being treated in the hospital. All three of them were men and were almost thirty years old.
Zhou Yang took a look at the medical records of these people and saw the following: Chief complaints of palpitations and shortness of breath, which worsened after exertion. The main clinical manifestations were chronic congestive heart failure, accompanied by oliguria, edema, and abdominal effusion. words.
Based on these symptoms in the medical records alone, Zhou Yang could basically infer that these patients had Keshan disease.
After carefully checking the status of the three people, it was found that two of them were unconscious and one of them was in deep shock!
The other person is in fair condition and still conscious.
Zhou Yang immediately asked for a stethoscope from Zhong Zhennan, and then checked the heartbeats and pulses of the three patients one by one.
The examination results showed that all three had very low heart sounds and showed symptoms of heart failure.
In addition, two critically ill patients had jugular venous distension and lower extremity edema, which are typical symptoms of Keshan disease.
After checking the patient's condition, Zhou Yang said in a deep voice: "It's Keshan disease, one acute patient and two sub-acute patients!"
Liu Jimin and Wang Yuanhua also finished the examination at this time. The two looked at each other. After a brief exchange of eyes, Liu Jimin took the lead and said: "Well, we agree with Comrade Xiao Zhou's judgment that it is Keshan disease!"
At this time, Zhong Zhennan said: "Mr. Liu, Mr. Wang, Mr. Zheng, my understanding of Keshan disease is limited. Please save them!"
As he spoke, his eyes couldn't help but turn red.
He thought of the patient who died yesterday!
The young man just turned 19 this year. He was a worker who was transferred from Northeast China to Saibei Province with his parents to support the construction of Saibei Steel Plant.
Unexpectedly, they noticed physical discomfort not long after they were assigned to the Ninghai Iron Mine.
At the beginning, I thought it was due to overexertion and thought that I would get better if I rested. However, I never thought that my condition would deteriorate rapidly, and I was sent to the county hospital as a last resort.
The county hospital didn't pay attention to their situation at first. It wasn't until the young man fell into a severe coma that they called Zhong Zhennan, a great doctor from Shanghai.
Zhong Zhennan still remembers the scene when he saw the young man. As soon as he arrived, the young man's father knelt down in front of him and said with grief: "Look at my child, he is about to die."
Realizing that the patient's condition was dangerous, Zhong Zhennan took out a stethoscope and put it on the patient's chest while comforting the family. He found that the child's heartbeat was irregular, a typical symptom of Keshan disease.
He immediately rescued the patient, but because the young man missed the best opportunity for treatment, he eventually stopped breathing in front of Zhong Zhennan.
When the young man's father learned that his child had died, he cried until he almost fainted. This was his only son.
As a doctor, Zhong Zhennan deeply feels his powerlessness and insignificance.
Apart from being able to watch the patient die, he can do nothing. This is perhaps the most failed and saddest thing for a doctor.
Liu Jimin patted Zhong Zhennan on the shoulder, and then said: "As a doctor, I understand your feelings. Don't worry, we will do our best!"
Then, he turned to Zhou Yang and said, "Comrade Xiao Zhou, you have previous experience in treating patients with acute Keshan disease. How do you think they should be treated?"
Zhou Yang immediately said: "Mr. Liu, Mr. Wang and all the seniors, after examining the patients just now, I believe that seriously ill patients who fall into coma must be treated as soon as possible. Otherwise, based on their situation, it could be as fast as 24 hours or as slow as a week." The condition will get out of control, and it will be difficult for the gods to save them!"
"The condition of the sub-acute patient next to me is still controllable, so my idea is that we can use different treatment plans for them!"
"Oh, tell me about your specific plan?" Liu Jimin asked.
"I will treat severe and acute patients, using the treatment methods I used at Dongquan Farm! And the sub-acute patients will be treated by Mr. Liu or Mr. Wang, using traditional treatment methods. Let's finally compare the treatment effects!" Zhou Yang said.
As soon as he finished speaking, Liu Jimin said in a deep voice: "Comrade Xiao Zhou, this is no joke. It involves the patient's life and safety. If something goes wrong, you must be responsible!"
Zhou Yang said in a deep voice: "Mr. Liu, let me ask you, regarding the conditions of these two acute patients, how sure are you of being cured?"
Liu Jimin frowned and said, "If I treat the one on the left, there is almost an 80% chance, but the ten-year survival rate will not exceed 20%!"
"As for the one in the middle, I really don't have any confidence..."
Before he finished speaking, Zhou Yang said in a deep voice: "Since even experts like you are not sure, then probably no one in the country dares to say that he can be cured!"
"In that case, why not give it a try and treat yourself like a dead horse and a living horse!"
Liu Jimin thought for a while and said, "Let's do this. You will treat the patient with the most severe symptoms in the middle. I will treat the patient with milder symptoms on the left. Comrade Yuanhua will be responsible for the sub-acute patient at the door. What do you think? "
Wang Yuanhua nodded and said: "I think it will work! Let's not wait to go back and set up a research group. Let's use this opportunity now to verify Comrade Xiao Zhou's treatment method! It's a mule or a horse, let's pull it out and run around!"
Zhou Yang also nodded and said: "Well, I have no objection!"
At that moment, Liu Jimin made a final decision: "Okay, that's it!"
Afterwards, Liu Jimin personally assigned several assistants to Zhou Yang, and then they all got busy.
Zhou Yang did not rush to give the patient medicine, but picked up the stethoscope and blood pressure monitor again to conduct a detailed examination of the emergency patient.
After understanding the patient's basic condition, Zhou Yang immediately said to Zhong Zhennan, one of the assistants: "Uncle Zhong, prepare a large dose of vitamin C for intravenous injection, and prepare an intravenous infusion of 5%-10% glucose solution, 200ml will be enough. !”
"OK!"
"Prepare vasoactive drugs and cardiotonic drugs at the same time. Vasoactive drugs should be diluted with rapid digitalis preparations, such as trichoside C or trichoside K, and then injected intravenously."
Then Zhou Yang continued: "Digoxin is usually taken orally as cardiotonic medicine. If the patient's lower limbs are swollen, diuretics must be added..."
Zhou Yang explained his treatment methods and why he used these drugs.
Soon Zhong Zhennan fetched the medicines Zhou Yang needed, and Zhou Yang immediately administered the medicines to the patient with ease, either through intravenous injection or intravenous drip.
While Zhou Yang was busy here, Liu Jimin and Wang Yuanhua also started treating two other patients respectively.
Compared with Zhou Yang's simple and quick treatment method, the two of them are not only slow, but also the method is more complicated.
After nearly half an hour of waiting for Zhou Yang to finish, they took care of the two patients!
Because Keshan disease is one of those diseases that has a fast onset and rapid deterioration, but the treatment effect is relatively slow!
Even if you use medicine, there will be no immediate effect.
Therefore, after several people gave the patient medicine, they could not leave at all, and could only wait quietly in the hospital for the development of the condition.
In order not to affect the patient's rest and to allow everyone to better communicate about their condition, the county hospital specially set aside a conference room for everyone to use.
Ever since, after dealing with the patient, everyone came to the conference room one after another!
pS: Yesterday I saw many readers leaving messages to Lao Cang, saying that Keshan disease is not contagious! Indeed, we all know now that Keshan disease is not contagious, but at the beginning of the founding of the People's Republic of China, ordinary people did not think so. If you check some literature about Keshan disease, you will know that at first people thought that Keshan disease would be contagious. It is contagious and is therefore also known as the “terminal disease”. So it’s not that Lao Cang wrote it wrong, but that everyone still knows relatively little about this disease! Also, all book friends, please be merciful when you encounter this kind of plot and don’t spit out sweet things!
Everyone has fun reading the books and pictures. Even if there is something wrong in Lao Cang's writing, you can point it out, but please don't implicate your parents and ancestors, why bother!
